ORE Part 2 Patient Management

Question 1

A patient with severe dental anxiety refuses treatment despite being in pain. What is the most appropriate initial approach?

Accepted Answer

Use cognitive behavioural techniques, discuss sedation options, and develop a graded treatment plan

Answer

Insist on treatment as it is in their best interest

Answer

Refer for general anaesthetic immediately

Answer

Prescribe antibiotics and discharge

Question 2

According to GDC Standards for the Dental Team, which principle requires dentists to always put patients' interests first?

Accepted Answer

Principle 1: Put patients' interests first

Answer

Principle 3: Obtain valid consent

Answer

Principle 6: Work with colleagues in a way that is in patients' best interests

Answer

Principle 9: Make sure your personal behaviour maintains patients' confidence

Question 3

What constitutes valid consent for dental treatment in the UK?

Accepted Answer

The patient having capacity, being informed of all material risks and alternatives, and consenting voluntarily without coercion

Answer

Verbal agreement only

Answer

The patient signing a consent form

Answer

The patient's family agreeing on their behalf

Question 4

A patient collapses in the dental chair with chest pain radiating to the left arm and jaw. After calling 999, what is the immediate management while awaiting the ambulance?

Accepted Answer

Sit the patient upright, give aspirin 300mg to chew, and GTN spray if available and BP adequate

Answer

Continue dental treatment to finish quickly

Answer

Lay the patient flat and elevate the legs

Answer

Give intramuscular adrenaline

Question 5

Under the Mental Capacity Act 2005, how should treatment decisions be made for an adult patient who lacks capacity?

Accepted Answer

A best interests decision is made considering the patient's past wishes, values, and involving relevant people in the decision

Answer

The dentist decides alone based on clinical need

Answer

The next of kin gives consent on behalf of the patient

Answer

Treatment cannot be provided until capacity is regained

Question 6

A patient requests that their dental records be shared with a new dentist. Under UK GDPR, what is the correct procedure?

Accepted Answer

Obtain written consent from the patient and provide copies of relevant records within one month

Answer

Refuse as records are the property of the practice

Answer

Share the records immediately without any formalities

Answer

Only share records with a court order